Developing a model for continuous care for Drug Addiction Patients in Community Isolation (CI) Centers in Khon Kaen Province.

Abstract

This action research aimed to develop a continuous care model for drug addicts in a patient care facility in Khon Kaen Province. The study was conducted from July 23, 2025, to May 31, 2026. The participants totaled 238 individuals, comprising 30 administrators and staff, 52 caregivers, and 156 patients. Quantitative data were analyzed using descriptive statistics and inferential statistics (Paired t-test, McNemar’s test). Qualitative data were analyzed using content analysis. The research process was divided into three phases: Phase 1 studied the problem, finding that patients lacked continuous care and an integrated system, leading to relapse and increased risk of violence. Phase 2 developed the model using the PAOR process combined with the system theory, resulting in the "CI-KK Model" comprising five aspects: screening, patient care in the care facility, rehabilitation and empowerment, pre-reintegration preparation, and continuous follow-up after discharge. Phase 3 evaluated the results of the model's implementation.

The study results showed that after implementing the model... The retention rate in the treatment system increased from 61.54% to 86.54%. The relapse rate decreased from 38.46% to 13.46%, and risky behaviors leading to violence decreased from 42.31% to 11.54%. In addition, patients expressed the highest level of satisfaction, with a mean score of 4.47 (SD = 0.13, representing 89.4%). Satisfaction after using the model was significantly higher than before using it (t = -14.18, p < .001).

               conclusion, the CI-KK Model is a continuous care model that emphasizes multidisciplinary and community involvement. It can effectively increase retention in the treatment system, as well as reduce relapse rates and risky behaviors leading to violence.